TY W CARTER MD
NPI 1811968688
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Aiken, SC

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
75.25/100
CMS Quality Rating
410 UNIVERSITY PKWY, SUITE 1000, AIKEN, SC 29801(803) 644-4264(803) 649-0543 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ty W Carter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TY W CARTER MD (NPI 1811968688) is an individual orthopaedic surgery of the spine provider in Aiken, South Carolina, licensed in South Carolina (23337) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Burke Medical Center, and is a graduate of Mercer University School Of Medicine (1996).

NPPES Registry Identity

NPI1811968688
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameTY W CARTERCredential: MD
Location Address410 UNIVERSITY PKWY, SUITE 1000Aiken, SC 29801
Mailing Address410 University Pkwy, Suite 1000Aiken, SC 29801 · (803) 644-4264 · Fax (803) 649-0543
Fax(803) 649-0543
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1996
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJune 5, 2014
NPI 1811968688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in SC · 23337
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

410 UNIVERSITY PKWY, Aiken, SC 29801

Other Identifiers 5

Medicare UPING855272243SC
Medicare UPING85527
Other57-0724225SC · Tax Id
Medicare ID-Type UnspecifiedG855272243
MedicaidT73925SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ty W Carter Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335245638
PECOS Enrollment IDI20070503000081, I20101210000706
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 35

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
398 services298 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
242 services185 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
165 services165 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
153 services135 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
132 services127 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services101 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Burke Medical Center

Acute Care Hospitals · Waynesboro, GA
OwnershipProprietary
CMS Certification Number110113
Location351 South Liberty StreetWaynesboro, GA 30830 · Burke County

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.56
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
55%635 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%39 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
95%39 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%2,698 patients4/55-star benchmark: 100%
e-Prescribing
99%656 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
84%698 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,582 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 76% · 1,182 patients
Patients screened: 86% · 1,182 patients
34%182 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
78%603 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%140 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 735 patients
Patients totalRate: 14% · 735 patients
13%735 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier31 claims31 services$3,758.66 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers16 claims16 services$14.39 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
1 supplier17 claims17 services$828.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
410 UNIVERSITY PKWY, SUITE 1000
AIKEN, SC 29801
Orthopaedic Surgery
410 UNIVERSITY PKWY, SUITE 1000
AIKEN, SC 29801
Psychiatry & Neurology (Neurology)
410 UNIVERSITY PKWY, SUITE 2360
AIKEN, SC 29801
Psychiatry & Neurology (Neurology)
410 UNIVERSITY PKWY, SUITE 2360
AIKEN, SC 29801
Orthopaedic Surgery
410 UNIVERSITY PKWY, SUITE 1000
AIKEN, SC 29801
Pharmacist
410 UNIVERSITY PKWY, SUITE 2800
AIKEN, SC 29801
Specialist
410 UNIVERSITY PKWY, SUITE 2300
AIKEN, SC 29801
Internal Medicine
410 UNIVERSITY PKWY, AIKEN INTERNAL MED PA STE 2500
AIKEN, SC 29801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ty Carter's NPI number?

The NPI number for Ty Carter is 1811968688. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Ty Carter located?

Ty Carter practices at 410 University Pkwy Suite 1000, Aiken, SC 29801. The listed phone number is (803) 644-4264.

What is Ty Carter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Ty Carter enrolled in Medicare?

Yes. Ty Carter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ty Carter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Ty Carter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ty Carter affiliated with any hospitals?

According to CMS data, Ty Carter is affiliated with Burke Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ty Carter was last updated on June 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.